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24E-15659-57356

5 vaccinations 13 coded responses 61 check-ins 13 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
622 / IL
Registered
2021-03-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-04
    Registered in v-safe
  2. 2021-03-04
    Dose 1 — Moderna
  3. 2021-03-04
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-03-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Flushing, Pyrexia — Feeling: Good · Site: Pain
    Free text: Low grade fever and flushed, ted face last night for only a bit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  8. 2021-03-11
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-18
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Injection site pain — Feeling: Good
    Free text: Aches and tiredness on injection sit, acweek after other symptoms stopped. Only a day and a half.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-01
    Dose 2 — Moderna
  12. 2021-04-01
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  13. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches
    Adult check-in
  14. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  15. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-08
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-15
    Survey response — day 14, dose 2
    MedDRA: Discomfort, Fatigue, Headache, Injection site reaction — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Injection site heavy and tired. Fatigued. Headaches in the back of my head.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-29
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-02
    Dose 3 — Moderna
  28. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache, Nausea
    Adult check-in
  29. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Joint pains, Diarrhea
    Adult check-in
  30. 2021-11-09
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-11-16
    Survey response — day 14, dose 3
    MedDRA: Fatigue, Nasopharyngitis — Feeling: Good
    Free text: I have a cold, and I'm really tired.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-23
    Survey response — day 21, dose 3
    MedDRA: Nasopharyngitis — Feeling: Fair
    Free text: Resurgence of my cold.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-11-30
    Survey response — day 28, dose 3
    MedDRA: Cough, Fatigue, Myalgia, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Sneezing — Feeling: Poor · Be unable to work or attend school
    Free text: Cold with stuffy nose, sore throat, coughing, sneezing, fatigue, and muscle aches
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-12-07
    Survey response — day 35, dose 3
    MedDRA: Fatigue, Nasal congestion, Nasopharyngitis, Upper-airway cough syndrome — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Bad cold, stuffy nose, post nasal drip, fatigue.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-12-14
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  36. 2022-02-01
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-05-03
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-05-24
    Dose 4 — Moderna
  39. 2022-05-24
    Health check-in — day 0, dose 4
    Feeling: Good · None
    Adult check-in
  40. 2022-05-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  41. 2022-05-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  42. 2022-05-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  43. 2022-05-28
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  44. 2022-05-29
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  45. 2022-05-30
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  46. 2022-05-31
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  47. 2022-06-07
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-06-14
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-06-21
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-06-28
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-07-05
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-08-23
    Survey response — 3 months, dose 4
    MedDRA: Injection site pain, Muscular weakness — Feeling: Good
    Free text: There was a time a few weeks ago, when my arm was just weak and achy at the site of the injection. It lasted a couple of weeks.
    MedDRA releases: 2024-11 · check-in free text available
  53. 2022-09-26
    Dose 5 — Moderna
  54. 2022-09-26
    Health check-in — day 0, dose 5
    Feeling: Good · None
    Adult check-in
  55. 2022-09-27
    Survey response — days 1–6 daily, dose 5
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: Pain, aches at injection site
    MedDRA releases: 2024-11 · check-in free text available
  56. 2022-09-28
    Survey response — days 1–6 daily, dose 5
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: Pain at injection site
    MedDRA releases: 2024-11 · check-in free text available
  57. 2022-09-30
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  58. 2022-10-01
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  59. 2022-10-02
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  60. 2022-10-03
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  61. 2022-10-10
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  62. 2022-10-17
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  63. 2022-10-24
    Survey response — day 28, dose 5
    MedDRA: Oropharyngeal pain, Throat irritation, Upper-airway cough syndrome — Feeling: Fair
    Free text: Post basal drip that irritates throat and makes it sorr
    MedDRA releases: 2024-11 · check-in free text available
  64. 2022-10-31
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  65. 2022-11-07
    Survey response — day 42, dose 5
    MedDRA: Cough, Fatigue, Laryngitis, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test negative, Sneezing, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Sore throat, cold, sneezing, cough, laryngitis, fatigue, tested negative for COVID · Healthcare visit (other): Get steriod Rx
    MedDRA releases: 2024-11 · check-in free text available
  66. 2022-11-07
    Report sent to call center — day 42, dose 5
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  67. 2022-11-08
    Call successful
    Not applicable - Accidental Reporting
  68. 2022-12-26
    Survey response — 3 months, dose 5
    MedDRA: Ear pain, Middle ear effusion — Feeling: Good
    Free text: Liquid behind eardrum, earache
    MedDRA releases: 2024-11 · check-in free text available
  69. 2023-03-27
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Moderna
22021-04-01Moderna
32021-11-02Moderna No
42022-05-24Moderna No
52022-09-26Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Low grade fever and flushed, ted face last night for only a bit

Release 5 — day 14, dose 1

2021-03-18

Symptoms: Aches and tiredness on injection sit, acweek after other symptoms stopped. Only a day and a half.

Release 7 — day 14, dose 2

2021-04-15

Symptoms: Injection site heavy and tired. Fatigued. Headaches in the back of my head.

Release 10 — day 14, dose 3

2021-11-16

Symptoms: I have a cold, and I'm really tired.

Release 10 — day 21, dose 3

2021-11-23

Symptoms: Resurgence of my cold.

Release 10 — day 28, dose 3

2021-11-30

Symptoms: Cold with stuffy nose, sore throat, coughing, sneezing, fatigue, and muscle aches

Release 10 — day 35, dose 3

2021-12-07

Symptoms: Bad cold, stuffy nose, post nasal drip, fatigue.

Release 12 — 3 months, dose 4

2022-08-23

Symptoms: There was a time a few weeks ago, when my arm was just weak and achy at the site of the injection. It lasted a couple of weeks.

Release 12 — days 1–6 daily, dose 5

2022-09-27

Systemic reaction (other): Pain, aches at injection site

2022-09-28

Systemic reaction (other): Pain at injection site

Release 12 — day 28, dose 5

2022-10-24

Symptoms: Post basal drip that irritates throat and makes it sorr

Release 12 — day 42, dose 5

2022-11-07

Symptoms: Sore throat, cold, sneezing, cough, laryngitis, fatigue, tested negative for COVID
Healthcare visit (other): Get steriod Rx

Release 12 — 3 months, dose 5

2022-12-26

Symptoms: Liquid behind eardrum, earache

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event · · ✓
SDCough · · ✓
SDDiscomfort ✓ ✓ ✓
SDEar pain · · ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site reaction ✓ ✓ ✓
SDLaryngitis · · ✓
SDMiddle ear effusion · · ✓
SDMuscular weakness · · ✓
SDMyalgia · · ✓
SDNasal congestion · · ✓
SDNasopharyngitis · · ✓
SDOropharyngeal pain · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSneezing · · ✓
SDThroat irritation · · ✓
SDUpper-airway cough syndrome · · ✓
SROFlushing ✓ ✓ ✓
SROInjection site pain · · ✓
SROPyrexia ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release